Organization
CU TU LU, DDS INC. A PROFESSIONAL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CU TU LU DDS (OWNER/DENTIST)
(559) 673-0199
Entity
Organization
Contact information
Practice address
515 E YOSEMITE AVE, MADERA, CA 93638-3334
(559) 673-0199
Mailing address
515 E YOSEMITE AVE, MADERA, CA 93638-3334
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407077274
NPI
CA
Enumeration date
11/14/2017
Last updated
06/23/2020
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